CAJ | 학술논문

目的：探讨腹腔镜胆囊切除术、开腹手术在老年良性胆囊类疾病中的治疗效果。方法选取2012年1月到2014年7月我院收取的良性胆囊类疾病患者79例，并随机分为对照组（n=39）和观察组（n=40）。对照组给予开腹手术治疗，观察组给予腹腔镜胆囊切除术治疗，对比两组的手术情况和术后并发症情况。结果观察组手术出血总量、手术总时间、胃肠道恢复需时、住院总时间均低于对照组，差异有统计学意义（t=16.695；t=17.408；t=12.145；t=19.307，均P<0.05）。观察组术后总并发症率（7.5%）低于对照组（28.2%），差异有统计学意义（X2=5.806，P=0.016）。结论腹腔镜胆囊切除术对老年良性胆囊类疾病的伤害小，术后恢复快，术后并发症低，值得推广。
목적：탐토복강경담낭절제술、개복수술재노년량성담낭류질병중적치료효과。방법선취2012년1월도2014년7월아원수취적량성담낭류질병환자79례，병수궤분위대조조（n=39）화관찰조（n=40）。대조조급여개복수술치료，관찰조급여복강경담낭절제술치료，대비량조적수술정황화술후병발증정황。결과관찰조수술출혈총량、수술총시간、위장도회복수시、주원총시간균저우대조조，차이유통계학의의（t=16.695；t=17.408；t=12.145；t=19.307，균P<0.05）。관찰조술후총병발증솔（7.5%）저우대조조（28.2%），차이유통계학의의（X2=5.806，P=0.016）。결론복강경담낭절제술대노년량성담낭류질병적상해소，술후회복쾌，술후병발증저，치득추엄。
Objective To investigate the efficacy of laparoscopic cholecystectomy and laparotomy in the treatment of benign gallbladder diseases in elderly patients. Methods A total of 79 cases were enrolled from Jan 2012 to Jul 2014, and randomly divided into control group (n=39) and observation group (n=40). Control group received laparotomy, and observation group were treated with laparoscopic cholecystectomy. The operation situation and postoperative complications were compared between the two groups. Results The intraoperative blood loss, the operation time, gastrointestinal recovery time, and length of stay of observation group were lower than those of control group, and the difference were statistically significant (t=16.695, t=17.408, t=12.145, t=19.307, all P<0.05). The total rate of postoperative complications of observation group was lower than that of control group, and the difference was statistically significant (X2=5.806, P=0.016). Conclusion Laparoscopic cholecystectomy can shorten recovery time of elderly patients with benign gallbladder diseases. It has a better effect and reduce the rate of postoperative complications. Laparoscopic cholecystectomy has potential clinical prospect.